Scalpel Versus Diathermy Skin Incision in Repeated CS

National Research Centre, Egypt

Status: Completed

Conditions: Benifits of Using Diathermy in Skin Incision

Treatments: Procedure: skin incision with diathermy; Procedure: skin incision with a scalpel

Study type: Interventional

Funder types: Other

Identifiers

NCT04818710

diathermy skin incision

Details and patient eligibility

About

This study was performed to compare both methods of skin incisions to determine differences in postoperative pain, hemodynamic changes, incisional time, blood loss during incision, wound healing, and wound complication.

Full description

Our study aims to compare the use of diathermy versus scalpel in making skin incision during cesarean section to judge the variations in

1. incision time,
2. incision blood loss,
3. hemodynamic changes,
4. postoperative pain,
5. wound healing
6. wound complications.

Enrollment: 476 patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• women with a history of only one previous cesarean section
• age between 18 and 40 years
• gestational age of 38 to 41 weeks
• body mass index less than 30.

Exclusion criteria

• any medical disorder that can affect wound healing as diabetes, chronic anemia, chronic skin conditions, history of allergy, or history of an infected surgical wound.
• Women who conducted primary or emergency cesarean deliveries
• cardiac patients on pacemakers
• patients on anticoagulants
• women refusing to participate in the study

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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476 participants in 2 patient groups, including a placebo group

skin incision with a scalpel

Placebo Comparator group

Description:

In the scalpel group, the incision was made by the traditional method, with proper homeostasis by applying pressure to skin blood vessels and ligating the subcutaneous bleeding.

Treatment:

Procedure: skin incision with a scalpel

skin incision with diathermy

Active Comparator group

Description:

In the diathermy group, the incision made using a small flat blade pen electrode, set on cutting mode and delivering a 120 watt (maximum) sinusoidal current, electrosurgical cutting performed without pressure or mechanical displacement.

Treatment:

Procedure: skin incision with diathermy